Active NPI
Pratik S Patel, DMD
- Dentist
- Sunrise, FL
National Provider Identifier
1922591619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN23440
- Practice address
- 1350 SW 160TH Ave
Sunrise, FL 33326-1908 - Phone
- (954) 385-9240
- Fax
- (954) 385-9260
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN23440 | FL | Primary |
Addresses
Primary practice location
1350 SW 160TH Ave
Sunrise, FL 33326-1908
Mailing address
11808 NW 2ND St
Coral Springs, FL 33071-8020
Phone (732) 910-7949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23440 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swan Dental Corp | Dentist | Current | Accepting new patients |
| Nexgen Dental LLC | Dentist | Current | Accepting new patients |
| Syd Associates, PA | Past | Accepting new patients | |
| Weston Family Dental Center, Inc | Dentist | Past | Accepting new patients |
| Professional Dental Alliance of Florida, PLLC | Past | Accepting new patients |
Locations
1350 SW 160th Ave
Sunrise, FL 33326
Phone (954) 385-9240
Networks
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Palm Coast, FL
- NPI 1538709076
-
- Dentist
- Sunrise, FL
- NPI 1649947524
-
- General Practice Dentistry
- Port St Lucie, FL
- NPI 1750938072
-
- Dental Clinic/Center
- Port Saint Lucie, FL
- NPI 1073998464
-
- Dentist
- Sunrise, FL
- NPI 1619106580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1922591619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11808 NW 2ND ST",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330718020",
"telephone_number": "732-910-7949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 SW 160TH AVE",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333261908",
"telephone_number": "954-385-9240",
"fax_number": "954-385-9260"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "PRATIK",
"middle_name": "S",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN23440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.